New Global Enteral Device Connector
Wednesday, 12 August 2015 09:13
Dr Sheldon Cooper (Chair, BAPEN Medical) & Prof Alastair Forbes (Chair, BSG Small Bowel & Nutrition Committee)
A new International Standard (ISO 80369-3) is being published this year and covers all connectors on enteral devices.
In order to comply with the International Standard, a new global enteral feeding device connector design (named ENFit) will be introduced across the UK from September 2015. The ENFit introduction will be a 2-stage process, with transition giving sets and gravity sets made available from September 2015, followed by ENFit feeding tubes and syringes being introduced from March 2016.
To facilitate the smooth transition to the ISO standard, a group made up of industry, clinical and NHS stakeholders was formed and named the EPSG (Enteral Plastic Safety Group). The EPSG represents all leading UK enteral feeding devices suppliers, with clinical representation from the PENG of the BDA, NNNG and supported by PINNT, BAPEN and BPNG. The following companies are members of the EPSG: Abbott; Corpak; Covidien; Fresenius Kabi; GBUK Enteral (Enteral UK); Intervene; Medicina; Nutricia; Vygon. EPSG member companies and NHS Supply Chain have agreed not to place any ENFit enteral feeding device (other than transition giving sets and gravity sets) into the UK market until 14th March 2016. It is envisaged that this process will minimise disruption to the NHS, whilst maintaining patient safety at all times. For further information about ENFit and how the changeover affects you and your patients, please contact your current enteral devices supplier or any of the following represented clinical groups: PENG of the BDA, NNNG, PINNT, BAPEN, BPNG.
- ENFIT - What You Need To Know [ 103 kb ]
- ENFIT - Reducing the Risk of Tubing Misconnections [ 484 kb ]
- Complete Nutrition Article on Enhancing Patient Safety in Enteral Feeding [ 525 kb ]
IBD Registry News – August 2015
Friday, 31 July 2015 12:37
In July four new sites had the IBD Registry PMS installed. Dorset County Hospital NHS Foundation Trust, Royal Free London NHS Foundation Trust (paediatrics IBD team), Hampshire Hospitals NHS Foundation Trust and Wrightington, Wigan and Leigh NHS Foundation Trust.
Consent and the IBD Registry
Capturing electronic clinical data onto a hospital system such as the PMS or the web tool is a primary purpose for that information so this doesn't need specific consent from the patient.
Submitting the same data to an audit or registry for service evaluation is a secondary use and may need patient consent if it includes any patient identifiable data. Since the data submitted to the IBD Registry does include some patient identifiable data (so we can spot duplicate entries when a patient is seen at different hospitals, for example) participating IBD teams need to get written consent from each patient before sending their data to the Registry.
To help IBD teams get up and running with the Registry, we applied for and were granted an exemption (called a s251 exemption) which allows IBD patient data to be submitted to the Registry unless a patient opts out. This is time-limited and expires in May 2016. After this time, hospitals will only be able to submit data to the Registry for those patients whose consent has been given and recorded. These arrangements apply to England and Wales, and we aim to have similar processes set up for Scotland and Northern Ireland in the near future.
We advise all IBD teams to start planning for consent now. Patient information could be sent with clinic appointment letters and consent forms signed in the waiting room. Or a mailing could be organised with a covering letter from the IBD Clinical Lead explaining why the hospital encourages patients to give their consent.
Information leaflets, consent forms and clinic posters can be downloaded from the IBD Registry website, or by contacting Simone Cort at the BSG, who can also send you hard copies of the clinic posters.
To find out more about patient consent and the IBD Registry you can download a more detailed document, Information On Patient Consent For Participating Hospitals from http://ibdregistry.org.uk/resources/consent-materials/ or watch this short interview in which Richard Driscoll was asked to explain about the IBD Registry and Consent to patients - https://www.youtube.com/watch?v=6USTnKO4TJo
IBD Audit and the Registry
The IBD Audit programme based at the Royal College of Physicians, the IBD Registry and the British Society of Gastroenterology are currently working together to plan a long term strategy to embed the delivery of audit and quality improvement in the IBD Registry. More detail will follow in the autumn.
In the meantime the biological therapies audit continues to collect data which will be reported on in 2016; this audit remains on the quality accounts list.
Independent Cancer Taskforce Report
Monday, 27 July 2015 11:27
The Independent Cancer Taskforce has published its report, Achieving world-class cancer outcomes: a strategy for England 2015-2020. This report sets out recommendations for a new cancer strategy for England. An Executive Summary and press release are also available.
The Chair of the Taskforce, Harpal Kumar, sets out the opportunities to transform cancer services in a letter to the Chief Executives of the bodies responsible for running the NHS, and on the Cancer Research UK blog.
NHSIQ Productive Endoscopy
Tuesday, 14 July 2015 14:50
The Productive Endoscopy Unit is a set of 'how to' guides to help staff make improvements in endoscopy services and meet the quality improvement elements of the Global Rating Scale, and accreditation of service. The series is endorsed by the Joint Advisory Group for Gastrointestinal Endoscopy (JAG).
Based on the principles and methodology of 'Productive Operating Theatre' the series will help units to reduce waste through better workplace organisation; offering support processes; guidance for scheduling processes and improvement of information and patient flow - leading to reductions in errors and delays. The Productive Endoscopy Unit is available free of charge (one per unit) to all NHS endoscopy provider organisations and will be available from 1 April 2015. To pre-order your free copy, please fill in the details at the following link:
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